MEDICARE: ROBIN RAYFORD LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	6301009751	MI

General Provider Information

NPI Number	:	1992124390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN RAYFORD LLP

Provider Business Mailing Address
First Line	:	525 E BIG BEAVER RD
Second Line	:	SUITE 201
City	:	TROY
State	:	MI
Zip	:	48083-1364
Country	:	US
Telephone Number	:	248-709-3897
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 E BIG BEAVER RD
Second Line	:	SUITE 201
City	:	TROY
State	:	MI
Zip	:	48083-1364
Country	:	US
Telephone Number	:	248-709-3897
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2014
Last Update Date	:	09/22/2014

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Directions to “ ROBIN RAYFORD LLP” Practice Location

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